Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Charles Daniel Procter Sr., MD

Individual provider Vascular Surgery Physician · NPI 1457369258

Charles Daniel Procter Sr., MD is a Vascular Surgery in Jacksonville, Florida. Graduated from Medical College of Georgia School of Medicine in 1978, 48 years ago. Practices with Cardiothoracic and Vascular Surgical Associates PA, a 85-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
48
Trained at
Medical College of Georgia School of Medicine
Licensed in
GA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

8767 Perimeter Park Blvd
Jacksonville, FL 32216-5479
Phone: (904) 402-8346
Fax: (904) 402-8347
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Vascular Surgery Physician (primary) Taxonomy 2086S0129X · Licence 035736 (GA)

Record details

NPI number1457369258
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 4, 2006
Last updated in NPPESMarch 31, 2025
Certification dateMarch 31, 2025
Mailing address1824 King St Ste 200, Jacksonville, FL 32204-4736

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyVASCULAR SURGERY
Medical schoolMEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Graduated 1978 (48 years in practice)
Group practice Cardiothoracic And Vascular Surgical Associates Pa — 85 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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